License holder summary

IRELAND ROAD FAMILY PHYS is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for IRELAND ROAD FAMILY PHYS is 1815 EAST IRELAND ROAD, SOUTH BEND IN 46614. This licensed professional license is not current. The license was granted 05/27/1971 and expired on 01/31/1994.

Indiana

Professional Licensing Agency

IRELAND ROAD FAMILY PHYS
Medical Licensing Board - Medical Corporation
License number
50000283A
Date granted
05/27/1971
Date expires
01/31/1994
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
1815 EAST IRELAND ROAD, SOUTH BEND IN 46614
indianalicensing.org
ID 24834046
LAST UPDATED 2024-02-23 01:38:05 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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